Bradley Dental, LLC
NPI 1295906584ActiveOrganization· Dentist, General Practice· Bourbonnais, IL
Dentist, General Practice in Bourbonnais, Illinois, registered in NPPES in March 2008. The authorized official on file is Koushan Azad, DDS, Owner/Dentist.
Overview
| NPI | 1295906584 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2008 |
| Last updated in NPPES | Mar 14, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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